S.Amdt. 3223

SA 3223. Mr. CRAPO submitted an amendment intended to be proposed to
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr.
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal
Revenue

[[Page S13261]]

Code of 1986 to modify the first-time homebuyers credit in the case of
members of the Armed Forces and certain other Federal employees, and
for other purposes; which was ordered to lie on the table; as follows:

On page 553, between lines 14 and 15, insert the following:

SEC. 2721. INCREASED PAYMENTS TO PRIMARY CARE PRACTITIONERS
UNDER MEDICAID.

(a) In General.--
(1) Fee-for-service payments.--Section 1902 of the Social
Security Act (42 U.S.C. 1396b), as amended by section
2001(b)(2), is amended--
(A) in subsection (a)(13)--
(i) by striking ``and'' at the end of subparagraph (A);
(ii) by adding ``and'' at the end of subparagraph (B); and
(iii) by adding at the end the following new subparagraph:
``(C) payment for primary care services (as defined in
subsection (hh)(1)) furnished by physicians (or for services
furnished by other health care professionals that would be
primary care services under such section if furnished by a
physician) at a rate not less than 80 percent of the payment
rate that would be applicable if the adjustment described in
subsection (hh)(2) were to apply to such services and
physicians or professionals (as the case may be) under part B
of title XVIII for services furnished in 2010, 90 percent of
such adjusted payment rate for services and physicians (or
professionals) furnished in 2011, or 100 percent of such
adjusted payment rate for services and physicians (or
professionals) furnished in 2012 and each subsequent year;'';
and
(B) by adding at the end the following new subsection:
``(hh) Increased Payment for Primary Care Services.--For
purposes of subsection (a)(13)(C):
``(1) Primary care services defined.--The term `primary
care services' means evaluation and management services,
without regard to the specialty of the physician furnishing
the services, that are procedure codes (for services covered
under title XVIII) for services in the category designated
Evaluation and Management in the Health Care Common Procedure
Coding System (established by the Secretary under section
1848(c)(5) as of December 31, 2009, and as subsequently
modified by the Secretary).
``(2) Adjustment.--The adjustment described in this
paragraph is the substitution of 1.25 percent for the update
otherwise provided under section 1848(d)(4) for each year
beginning with 2010.''.
(2) Under medicaid managed care plans.--Section 1932(f) of
such Act (42 U.S.C. 1396u-2(f)) is amended--
(A) in the heading, by adding at the end the following: ``;
Adequacy of Payment for Primary Care Services''; and
(B) by inserting before the period at the end the
following: ``and, in the case of primary care services
described in section 1902(a)(13)(C), consistent with the
minimum payment rates specified in such section (regardless
of the manner in which such payments are made, including in
the form of capitation or partial capitation)''.
(b) Increased FMAP.--Section 1905 of such Act (42 U.S.C.
1396d), as amended by sections 2006 and 4107(a)(2), is
amended
(1) in the first sentence of subsection (b), by striking
``and'' before ``(4)'' and by inserting before the period at
the end the following: ``, and (5) 100 percent for periods
beginning with 2015 with respect to amounts described in
subsection (cc)''; and
(2) by adding at the end the following new subsection:
``(cc) For purposes of section 1905(b)(5), the amounts
described in this subsection are the following:
``(1)(A) The portion of the amounts expended for medical
assistance for services described in section 1902(a)(13)(C)
furnished on or after January 1, 2010, that is attributable
to the amount by which the minimum payment rate required
under such section (or, by application, section 1932(f))
exceeds the payment rate applicable to such services under
the State plan as of June 16, 2009.
``(B) Subparagraph (A) shall not be construed as preventing
the payment of Federal financial participation based on the
Federal medical assistance percentage for amounts in excess
of those specified under such subparagraph.''.
(c) Effective Date.--The amendments made by this section
shall apply to services furnished on or after January 1,
2010.
______